Resumen de Validación del cuestionario stop-bang, para el diagnóstico de síndrome de apnea-hipopnea del sueño en la población de edad igual o superior a 40 años
1. Introducción o motivación de la tesis:
El síndrome de apnea-hipopnea del sueño (AOS) es una enfermedad muy prevalente la cual se ha relacionado con enfermedades cardiovasculares y accidentes laborales y de tráfico. Actualmente, se estima que existe un importante infradiagnóstico de AOS, principalmente por la dificultad de acceder a las pruebas para tal fin.
2.Contenido de la investigación:
El objetivo de esta tesis doctoral ha sido determinar la utilidad de la versión española del cuestionario STOP-Bang (SBQ) para el cribado de AOS moderado o grave en población adulta que acude a atención primaria, para lo cual se realizó un estudio multicéntrico observacional descriptivo. A través de una búsqueda oportunista y siguiendo los criterios de selección, se reclutó una muestra estadísticamente significativa de 255 pacientes, en siete centros de atención primaria, a los que se les aplicó el SBQ y posteriormente se les realizó una poligrafía respiratoria domiciliaria (PR) para confirmar el diagnóstico de AOS. Se analizó la validez de criterio del SBQ, comparando la puntuación obtenida por el SBQ con el índice de apnea-hipopnea (IAH) obtenido por PR, estableciéndose el diagnóstico de AOS para un IAH>5, así mismo, se evaluó la confiabilidad del cuestionario.
3.Conclusión:
El SBQ es muy eficaz para detectar AOS moderado/grave. Sus propiedades psicométricas son similares a las obtenidas en estudios sobre otras poblaciones. Por su facilidad de uso, el SBQ es una herramienta muy útil para los profesionales de atención primaria de salud.
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